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Upper Back Cordotomy, One Side, Single Operation

Louisiana rates for HCPCS 63195

Surgery for severe pain that has not responded to other treatment. Part of the bony arch of a vertebra in the chest section of the spine is removed to reach the spinal cord, and the pain-carrying pathway is cut on one side of the cord, relieving pain on the opposite side of the body. It is completed in a single operation.

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $363 to $5,012Professionalmedian $2,884 · 10th to 90th $2,884 to $2,884
$500$1K$2K$5K$10Kfacility $1,202professional $2,884

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,202.26
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03